| NPI | 1306160239 |
|---|---|
| Former Name | MALLORY RYAN ARCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2011-11-08 |